• Journal of Chest Surgery
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• 제25권6호
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• pp.611-615
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• 1992

Between July 1988 and August 1991, 8 cases of pulmonary resection for pulmonary asp-ergilloma had been performed in the department of thoracic surgery, Korea Cancer Center Hospital. The patients were consisted of 4 males and 4 females and were evenly distributed from fourth decade to sixth decade. Hemoptysis was the most common chief compla int. In chest roentgenogram, patch infiltration was noted in 4 cases[50%] and intracavi-tary fungus ball was noted in only 2 cases[25%]. A. fumigatus was identified pre-operatively in 2 cases by bronchoscopic washing and in 1 case by culture of pleural effusion, Eight pulmonary resections were done by 5 lobectomies, 1 segmentectomy, 1 wedge resection and 1 pneumonectomy, Postoperative pathologic findings showed that 6 cases [75%] were combined with bronchiectasis, 1 case with tuberculosis and 1 case with pneumonia. We experinced 1 case of postoperative pulmonary edema but there was no mortality case.

• Journal of Chest Surgery
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• 제25권12호
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• pp.1444-1447
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• 1992

Leiomyoma, one of the primry benign tumors of the lung, is extremely rare. Few cases reported in the literature suggest that this tumor occurs most commoly in the fourth decade and that over 90 percent of the pulmonary parenchymal leiomyomas occur in women and almost all lesions are found incidentally on chest radiographs. Treatment has been conservative surgery and 65 percent of the reported cases have been managed by lobectomy or pneumonectomy for advanced irreversible lung diseases or unw-areness of the benign nature of the lesion. This report is a case of pulmonary parenchymal leiomyoma in a 46-year-old female patient. She underwent surgical resection and the postoperative result was good.

• Journal of Chest Surgery
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• 제27권3호
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• pp.209-214
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• 1994

Lung cancer is one of the most disastrous of all the current cancers in Korea. In 1990 it was projected that there would be 5, 500 new lung cancer patients in Korea and that 5, 000 would die of their disease. This is a mortality rate of 91 percent. We reviewed the surgically treated 153 bronchogenic cancer patients from January 1987 to December 1991 in St. Mary`s Hospital of Catholic University Medical College. There were 121 men and 32 women ranging in age from 18 to 83 years, with a mean of 56 years. Of the 153 patients, resection was possible in 138 patients and the resectability was 90.1 percent. Squamous cell carcinoma was present in 48 percent of patients, adenocarcinoma in 29 percent, adenosquamous carcinoma in 7 percent, large cell carcinoma in 6 percent, salivary gland tumor in 5 percent, and small cell carcinoma and carcinoid in 3 percent respectively. Postoperative cancer staging was grouped stage I 33 percent, stage II 21 percent, stage IIIa 35 percent, and stage IIIb 10 percent. Lobectomy was performed in 70 percent, pneumonectomy in 17 percent, and segmentectomy in 14 percent. Three and 5-year postoperative survival in resectable 138 patients were 47 and 29 percent respectively.

• Journal of Chest Surgery
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• 제30권1호
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• pp.112-115
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• 1997

악성림프종과 병발한 폐의 편평세포암종을 1례 치험하였다. 환자는 19세 남자로 비 흡연자였다. 수술은 우 전폐절제술을 시행하였고 조직소견상 전이의 증거는 없었다. 조직의 확진은 면역조직화자염색을 통해 이루어졌다. 환자는 술후 3개월째 흉벽으로 림프종의 재발이 있었으며 술후 5개월째 호흡부전으로 사망하였다.

• Journal of Chest Surgery
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• 제26권10호
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• pp.775-780
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• 1993

Pulmonary aspergilloma resulting from colonization of Aspergillus fumigatus is potentially life-threatening disease due to massive hemoptysis. Between August 1990 and November 1993, twelve patients were operated for the treatment of pulmonary aspergilloma. The mean age was 38.8 years. All patients had underlying cavitary lung disease, and the tuberculosis is the most common cause. Ten patients have experienced hemoptysis, but the clinical presentation of hemoptysis at the time of operation was mostly intermittent and scanty. Operative procedures were segmentectomy in 1 patient, lobectomy in 8, pneumonectomy in 2, and pleuropneumonectomy in 1. There were three complications, bronchopleural fistula in one patient and prolonged air leak in 2. There was no postoperative death. Conclusively, our results suggest that established aspergilloma associated with tuberculosis or other cavitary lesions should undergo early elective pulmonary resection, even though it has only minimal hemoptysis.

• Journal of Chest Surgery
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• 제13권1호
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• pp.66-71
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• 1980

This is one case report of coexisting two histologically different carcinomas in the different lobes of the right lung, which operated the right pneumonectomy in the Dept. of Thoracic and Cardiovascular Surgery Hanyang University Hospital. The 43 years old male patient complained coughing, blood tinged sputum and weight loss. The chest films [PA and lateral view] showed a small round hazy shadow in the posterior segment of the right upper lobe and irregular hazy densities in the right middle lobe and hilar area. Histopathologically, the tumor in the posterior segment of the right upper lobe was consisted of a tissue of adenocarcinoma and the tumor in the right middle lobe was consisted of a tissue of well-differentiated bronchial squamous cell carcinoma.

• Journal of Chest Surgery
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• 제24권10호
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• pp.1033-1038
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• 1991

From August 1988 to August 1991 40 automatic staplers[four TA 30 Premium and 36 TA 55 Premium] were used to close the bronchial stump in 38 patients. There were 8 pneumonectomies, 5 bilobectomies, 23 lobectomies, 1 lobectomy and segmentectomy, and 1 segmentectomy due to various pulmonary diseases. Among 40 bronchial stumps, 15 stumps were covered with the pleural flaps for reinforcing the stump and remained 25 stumps left uncovered. The patients of the 2 groups were selected randomly regardless of disease entities. The duration of follow-up was from 1 month to 38 month-average 16 months, and there were no bronchopleural fistulas in all cases during the follow-up period. Especially in the uncovered bronchial stumps group, 3 preoperative sputum AFB[+] patients and 2 patients of stage IIIa lung cancer underwent pneumonectomy with ipsilateral radical lymph node dissection were included. So, surgical stapling is the safe method and is recommended in closing the bronchial stump in various pulmonary resections.

• Journal of Chest Surgery
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• 제32권10호
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• pp.958-961
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• 1999

A case of esophagopleural fistula after pleuropneumonectomy is reported. A 59 years old male underwent right pleuropneumonectomy due to tuberculous empyema. The postoperative small esophagopleural fistula was confirmed by esophagogram and was initially managed by a conservative treatment. There was a persistent fistula on follow up esophagogram, therefore we planned the next treatment modality for obstruction of the fistula. For poor general conditions and arrhythmia, an esophageal stent was applied as a non-surgical method. At first, a covered-form stent was inserted, but it migrated to the stomach after 3 months. By using an uncovered-form stent, a complete obstruction of the esophagopleural fistula was achieved.

• 대한기관식도과학회지
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• 제3권2호
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• pp.332-337
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• 1997

저자들은 53세 남자환자에서 성인에서는 매우 드물게 발견되는 선천성 기관지식도루 1례를 수술치험 하였기에 문헌고찰과 함께 보고하는 바이다.

• Journal of Chest Surgery
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• 제14권4호
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• pp.331-338
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• 1981

The inhalation of a foreign body into the tracheobronchial tree is a child is a life-threatening accident. Forgotten foreign bodies In the airways cause chronic pulmonary infections, allergic asthma, bronchiectatic changes, and lung abscess Foreign bodies that cannot be grasped by bronchoscopic forceps should be removed by thoracotomy and bronchotomy. This report describes our experience In 16 patients who were treated to remove inhaled foreign bodies from the airways after repeated bronchoscopies had been unsuccessful from 1963 to 1981 at the department thoracic surgery of Seoul National University Hospital. The surgical procedures are as follows: 12 patients bronchotomy, 2 patient pneumonectomy, 2 patients lobectomy. In these cases, the foreign bodies are 8 metallic material, 3 plastic material, 1 bean, 1 black snail, and 3 cases of no records. Bronchotomy must be performed as soon as possible in order to avoid more advanced pathologic changes In the Involved lung, such as bronchiectasis, fibrosis or abscess.